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Hotel Name

Hotel Website
[e.g. http://www.example.com/]

Hotel Address

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City

Zip code

Login Information

Email id

Password

Confirm Password

Security Question

Answer

Contact Information

First Name

Last Name

Position Title

Phone

Cell Phone

Fax

Billing Information

Credit Card Type

Name on Card

Card Number

Cardholder’s Zip code

Expiry Date

Expiry Month

Terms & Conditions
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the My Motel Manager Customer Agreement
on the My Motel Manager website at www.mymotelmanager.com, and you further agree
to have your credit or debit card charged for usage of your account.
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